United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2012_register executive 2012-04-24 article Part II Rules and Regulations D09002ee1c7fd26ef D09002ee1c7fd27c9 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule with comment period revises the Medicare Advantage (MA) program (Part C) regulations and prescription drug benefit program (Part D) regulations to implement new statutory requirements; strengthen beneficiary protections; exclude plan participants that perform poorly; improve program efficiencies; and clarify program requirements. It also responds to public comments regarding the long-term care facility conditions of participation pertaining to pharmacy services. 77 FR 22072 https://www.govinfo.gov/app/details/FR-2012-04-12/2012-8071 2012-8071 fr12ap12-11 RIN 0938-AQ86 4120-01-P CMS-4157-FC https://www.govinfo.gov/app/details/FR-2012-04-12/2012-8071 https://www.govinfo.gov/content/pkg/FR-2012-04-12/html/2012-8071.htm https://www.govinfo.gov/content/pkg/FR-2012-04-12/pdf/2012-8071.pdf Administrative Practice and Procedure Grant Programs-Health Health Care Health Insurance Health Maintenance Organizations (Hmo) Loan Programs-Health Medicare Reporting and Recordkeeping Requirements Health Facilities Penalties Privacy Emergency Medical Services Health Professionals 104 p. 22072 22175 77 FR 22072 Title 42 Part 417 42 CFR Part 417 Title 42 Part 422 42 CFR Part 422 Title 42 Part 423 42 CFR Part 423 RIN 0938-AQ86 Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2013 and Other Changes; Federal Register Vol. 77, Issue RULE 2012-8071 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2012-06-01 CMS-4157-FC 4120-01-P 2012-8071 Final rule with comment period.

This final rule with comment period revises the Medicare Advantage (MA) program (Part C) regulations and prescription drug benefit program (Part D) regulations to implement new statutory requirements; strengthen beneficiary protections; exclude plan participants that perform poorly; improve program efficiencies; and clarify program requirements. It also responds to public comments regarding the long-term care facility conditions of participation pertaining to pharmacy services.

Effective dates: These regulations are effective on June 1, 2012 unless otherwise specified in section I.B. of this final rule with comment period (see Table 1). Amendments to the definitions of "other health or prescription drug coverage" at Sec. 423.2305 and "supplemental benefits" at Sec. 423.100 are effective January 1, 2013. Christian Bauer, (410) 786-6043, and Kathryn Jansak, (410) 786-9364, General information. Administrative Practice and Procedure Grant Programs-Health Health Care Health Insurance Health Maintenance Organizations (Hmo) Loan Programs-Health Medicare Reporting and Recordkeeping Requirements Health Facilities Penalties Privacy Emergency Medical Services Health Professionals Medicare Program: Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2013 and Other Changes , partd_mtm@cms.hhs.gov PartDBenefitImpl@cms.hhs.gov http://www.avalerehealth.net/wm/show.php?c=&id=890 http://www.cms.gov/ManagedCareMarketing/ http://www.cms.gov/ManagedCareMarketing/03_FinalPartCMarketingGuidelines.asp http://www.cms.gov/manuals/downloads/mc86c04.pdf http://www.deadiversion.usdoj.gov/index.html http://www.epa.gov/ppcp http://www.medicare.gov/NHcompare/home.asp http://www.regulations.gov http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf https://www.cms.gov/MCRAdvPartDEnrolData/ https://www.cms.gov/Medicare-Advantage-Prescription-Drug-Plan-Decisions/downloads/2010_CD_App_7.pdf https://www.cms.gov/MedicareAdvtgSpecRateStats/Downloads/oon-payments.pdf https://www.cms.gov/PrescriptionDrugCovGenIn/06_PerformanceData.asp Vol. 77, no. 71 Office of the Federal Register, National Archives and Records Administration 2012-04-12 continuing daily deposited born digital 352 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2012-04-12 P0b002ee1825d1654 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr12ap12 https://www.govinfo.gov/app/details/FR-2012-04-12 https://www.govinfo.gov/content/pkg/FR-2012-04-12/pdf/FR-2012-04-12.pdf https://www.govinfo.gov/content/pkg/FR-2012-04-12/xml/FR-2012-04-12.xml fdlp 21841 22184 DGPO 2012-04-24 2024-06-03 FR-2012-04-12 machine generated eng FR FR-2012-04-12 77 71